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目的探讨RetCamⅢ广域视网膜眼底成像系统在各种眼病筛查中的应用价值。方法收集2016年2月至2016年8月在我院行RetCamⅢ广域视网膜眼底成像系统对594例婴幼儿(1188只眼)婴幼儿临床资料。结果 594例婴幼儿(1188只眼)筛查出眼部异常93例(144只眼),占总筛查人数的15.66%。其中眼后段异常为主75例(112只眼),眼前段异常为主的18例(32只眼)。在眼后段异常的112只眼中,早产儿视网膜病变(ROP)51只眼(45.54%)、眼底出血32只眼(28.57%)、发育性及遗传性疾病29只眼(25.89%);在眼前节为主的32只眼中,先天性白内障30只眼(93.75%)、先天性青光眼2只眼(6.25%)。结论 RetCamⅢ可用于早产儿视网膜病变的筛查,以及婴幼儿眼病的常规筛查及随访,早产儿及伴有高危因素的足月儿应重视眼底早期筛查。
Objective To investigate the value of RetCam Ⅲ wide-area retinal fundus imaging system in screening various eye diseases. Methods The clinical data of 594 infants and young children (1188 eyes) infants from February 2016 to August 2016 in our hospital with RetCamⅢ wide-area retinal fundus imaging system were collected. Results A total of 93 eyes (144 eyes) of 594 infants (1188 eyes) were screened out, accounting for 15.66% of the total. Among them, 75 cases (112 eyes) were abnormal in the posterior segment of the eye and 18 eyes (32 eyes) were abnormal in the anterior segment. Among 112 eyes with abnormal posterior segment, 51 eyes (45.54%) had retinopathy of prematurity (ROP), 32 eyes (28.57%) had retinal hemorrhage, 29 eyes (25.89%) had developmental and hereditary diseases. In the 32 anterior segments, 30 eyes (93.75%) had congenital cataract and 2 eyes (6.25%) had congenital glaucoma. Conclusion RetCam Ⅲ can be used in the screening of retinopathy of prematurity, as well as routine screening and follow-up of eye diseases in infants. Premature infants and full-term infants with high risk factors should pay attention to early fundus screening.